SANTIAGO USCOCOVICH

BRYANT, AR
NPI1104432327
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  4576)
Enumeration Date2020-09-22
Last Update Date2020-09-22
Business Address
SANTIAGO USCOCOVICH PTA
2700 N PRICKETT RD STE 2
BRYANT, AR 72022-7511
Phone number: 501-213-0594
Mailing Address
SANTIAGO USCOCOVICH PTA
PO BOX 1419
ALEXANDER, AR 72002-3419
Phone number: 501-213-0594
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